NY Patient Portal Overview May 11th, 2016 New York eHealth - - PowerPoint PPT Presentation

NY Patient Portal Overview

May 11th, 2016

NYeC is a not-for-profit organization, working to improve healthcare for all New Yorkers through health information technology

Promote the adoption and use of electronic health records

• Educate the public on the benefits of EHRs
• Assist providers transitioning from paper to electronic records
• Assist providers to qualify for Meaningful Use reimbursements

Create a health ecosystem that fosters innovation

• Develop statewide policies regarding HIT
• Convene stakeholders and build consensus
• Collaborate with NYS Department of Health

Build the State Health Information Network of New York (SHIN-NY)

• Allow providers to share information
• Promote collaborative care so doctors work as a team to benefit the patient

New York eHealth Collaborative Overview

The SHIN-NY in a Nutshell

• A secure network for sharing electronic clinical records
• Records are accessed and exchanged securely between healthcare providers with

appropriate consent

• Patients decide which entities can access or see their records
• Efficient access to clinical records helps providers better manage patient care
• The SHIN-NY can help reduce healthcare costs, improve healthcare coordination, and

increase the quality of care for patients in New York State

3

The SHIN-NY is a Network of Networks

• Provider organizations are

grouped by Region into Regional Health Information Organizations (RHIOs)

• RHIOs create local

network of stakeholders including hospitals, practices, long term care, etc.

• NYS DOH helped create

the *8 RHIOs which exist today via the HEAL grant

NYS Provider Organizations are grouped by Region

*The 8 RHIOs are implemented via 9 HIE technical infrastructures

RHIOs Provide Key Services

• Established by local healthcare stakeholder communities to serve health IT needs
• Key Services:
• Aggregate electronic health records from participating healthcare providers
• Allow providers to search for and access electronic health information from other providers
• Makes patient contributed data available to providers at remote facilities
• Deliver notifications (alerts) and secure message exchange (DIRECT)
• RHIOs may have additional custom services such as analytics
• Provide data access via EHRs and/or clinical portals
• Providers need to be connected to a RHIO for their patients’ clinical data to be available

to other providers and in the Patient Portal

6

Provider-based Search Extends Across All RHIOs

• The process
• Healthcare provider organizations connect to each RHIO
• All RHIOs connect to the statewide service
• A Provider at a specific RHIO requests patient data from the statewide service (“querying RHIO”)
• The statewide service identifies which RHIOs have the patient data
• The statewide service distributes the patient data request to the other RHIOs (“responding RHIOs”)
• The Statewide service forwards patient data from responding RHIOs to the RHIO that originated the query

NY Patient Portal: History

• As part of the Statewide HIE Grant, NYeC researched

requirements for a Statewide Patient Portal

• Requirements were developed through a stakeholder driven

process:

• Crowdsourced Design Challenge for look and feel
• Patient focus groups consisting of both publicly and privately

insured patients to discuss needed features

• Provider focus groups to discuss features and messaging
• Presentations to Medical Associations, RHIO participants, and other

experts

• After RFP process, contract awarded for initial portal

development

• Initial feature development tested with potential users within

two RHIOs

8

Patient Portal: Objectives

• Enable patients to access health information across NYS
• Allow patients to more effectively manage and direct their

healthcare

• Enhance patient safety

9

• Built on SHIN-NY architecture
• Adheres to International Healthcare Exchange

standards

• Patients pull the same clinical data available to

their providers

A State-based Patient Portal Leverages the Connected Infrastructure

Patient Portal: Information Flow

Healthix HlinkNY Interboro eHNLI Bronx Hixny Rochester HeCon HeLink

Gateway

Patient DB

SHIN-NY

11

Examples of Patient Data Available From Disparate Sources

Medications Encounters Demographics Lab Reports Diagnoses Immunizations Dental records Admissions/Discharges Histories Allergies 12

Examples of Patient Data Available Through the Patient Portal

Medications Encounters Demographics Lab Reports Diagnoses Immunizations Dental records Admissions/Discharges Histories Allergies 13

NY Patient Portal: High Level Features currently expected in 2016

• Builds on the existing SHIN-NY infrastructure to

connect patients to their available data

• Categorized health information
• Download clinical data
• Upload important documents not currently available

electronically

• Store notes about health data
• Patient inbox for Direct / secure messaging

between patients and their provider

• Enables visual customization as needed including

entity-based versions

• Certified for Meaningful Use Stage 2
• View of data from NYC and NYS Immunization

Registries

Patient Portal: Patient Record View

• User friendly and patient

customizable dashboard view

• View frequently accessed information
• Portal allows patients to keep track
• f their healthcare information

including

• Medications
• Vital statistics
• Lab results
• Provider visits and more

15